Individual provider Active NPI

Carmen L Pisc, MD

  • Hematology & Oncology Physician
  • Muncie, IN
National Provider Identifier
1356324453
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
01091171A Issued in IN
Practice address
2401 W University Ave
Muncie, IN 47303-3428
Phone
(765) 281-2030
Fax
(765) 448-7667
NPI assigned
Nov 22, 2005
Last updated
Jan 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 208254 MA
Medical Oncology Physician 207RX0202X MD435505 PA
Medical Oncology Physician 207RX0202X 9491A WY
Medical Oncology Physician 207RX0202X 63480 CT
Medical Oncology Physician 207RX0202X 01091171A IN
Medical Oncology Physician 207RX0202X D83526 MD
Hematology & Oncology Physician 207RH0003X 01091171A IN Primary

Addresses

Primary practice location

2401 W University Ave
Muncie, IN 47303-3428

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

320 Pomfret St
Putnam, CT 06260-1869
Phone (307) 235-5433

Other identifiers 12

IdentifierTypeStateIssuer
208254OtherMATUFTS HEALTH CARE
008088213MedicaidCT
1022897800001MedicaidPA
AA14188OtherMAHARVARD PILGRIM
J24402OtherMABLUE CROSS BLUE SHIELD
153940MedicaidMA
300080355MedicaidIN
30204573MedicaidNH
5033388001OtherMACIGNA
M12240477OtherINMEDICARE PTAN
2664150OtherMAAETNA US HEALTH
002070762OtherPAHIGHMARK

Other names 1

  • Carmen L Maier Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cpisc@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MD, VT, IN, CO5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20040812000622 MA Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology/Oncology 8325010945 Reassigns benefits to 1 organization
I20181205000534 MD Practitioner - Hematology/Oncology 8325010945 Reassigns benefits to 2 organizations
I20221221001822 VT Practitioner - Medical Oncology 8325010945 Reassigns benefits to 1 organization
I20230804002409 IN Practitioner - Hematology/Oncology 8325010945 Reassigns benefits to 2 organizations
I20251210001585 CO Practitioner - Hematology/Oncology 8325010945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-3111

340 Exempla Cir
300 Lafayette Clinic Neurosurgery
Lafayette, CO 80026-3384
Phone (303) 673-1390

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD435505PAMDMedical Oncology Physician
9491AWYMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc CurrentSince Nov 2, 2022 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Intermountain Medical Group Denver, LLC Hematology & Oncology Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Dec 1, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Dec 1, 2025 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Hematology & Oncology CurrentSince Sep 1, 2023 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Nov 12, 2018 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 1, 2020 Accepting new patients
Platte Valley Medical Group LLC CurrentSince Dec 1, 2025 Accepting new patients
Sinai Hospital of Baltimore Inc Hematology & Oncology CurrentSince Nov 12, 2018 Accepting new patients
Carroll Regional Cancer Center Physicians, LLC Hematology & Oncology CurrentSince Oct 14, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 1, 2020 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Dec 1, 2025 Accepting new patients
Nashoba Valley Healthcare Group Inc Past Accepting new patients
Hallmark Health System Inc Hematology & Oncology Past Accepting new patients
Day Kimball Medical Group Inc Past Accepting new patients
Saint Joseph Hospital, Inc Past Accepting new patients
Commonwealth Hematologyoncology PC Past Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Past Accepting new patients
Intermountain Medical Group Denver, LLC Hematology & Oncology Past Accepting new patients

Locations

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

400 Indiana St
Ste 300
Golden, CO 80401
Phone (303) 403-7333

340 Exempla Cir
Lafayette, CO 80026
Phone (303) 673-1600

3832 Solutions Ctr
Chicago, IL 60677

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

510 W Votaw St
Portland, IN 47371
Phone (260) 726-2890

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

140 Lincoln Ave
Fl 3
Haverhill, MA 01830
Phone (978) 372-7202

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

697 Massachusetts Ave
Lunenburg, MA 01462
Phone (978) 582-4587

2401 W Belvedere Ave
Baltimore, MD 21215

291 Stoner Ave
Westminster, MD 21157
Phone (410) 871-6139

77 Vine St
Barre, VT 05641
Phone (802) 225-1266

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

Interoperability endpoints

  • Direct secure messaging: cpisc@direct.iuhealth.org
  • FHIR API: https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/958/brand/1/csg/1/fhir/r4

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1356324453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W UNIVERSITY AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033428",
            "telephone_number": "765-281-2030",
            "fax_number": "765-448-7667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Pomfret St",
            "address_purpose": "LOCATION",
            "city": "Putnam",
            "state": "CT",
            "postal_code": "062601869",
            "country_code": "US",
            "telephone_number": "307-235-5433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PISC",
        "first_name": "CARMEN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MA",
            "license": "208254",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "PA",
            "license": "MD435505",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "WY",
            "license": "9491A",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CT",
            "license": "63480",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IN",
            "license": "01091171A",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MD",
            "license": "D83526",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IN",
            "license": "01091171A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH CARE",
            "identifier": "208254",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008088213",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022897800001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA14188",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J24402",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153940",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300080355",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30204573",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5033388001",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M12240477",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTH",
            "identifier": "2664150",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "002070762",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cpisc@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 W University Ave",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473033428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "MAIER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.